Active NPI
Mary Genevieve Dvorak, PSY.D.
- Psychologist
- San Francisco, CA
National Provider Identifier
1740426311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY22952
- Practice address
- 1801 Bush St
Suite 222
San Francisco, CA 94109-5239 - Phone
- (415) 249-9184
- NPI assigned
- Dec 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY22952 | CA | Primary |
Addresses
Primary practice location
1801 Bush St
Suite 222
San Francisco, CA 94109-5239
Mailing address
1801 Bush St
Suite 222
San Francisco, CA 94109-5239
Phone (415) 249-9184
Other names 1
- Dr. Genie Dvorak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22952 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1740426311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 BUSH ST",
"address_2": "SUITE 222",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941095239",
"telephone_number": "415-249-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 BUSH ST",
"address_2": "SUITE 222",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941095239",
"telephone_number": "415-249-9184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVORAK",
"first_name": "MARY",
"middle_name": "GENEVIEVE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-31",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY22952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GENIE",
"last_name": "DVORAK",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.